Patricia J Tracy, M.S., CCC-SLP
NPI #1295864064 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1295864064
- Entity Type
- Individual
- Name
- Patricia J Tracy, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Mar 23, 2011
Practice Location
- Address
- 7A GINGER CREEK VILLAGE DRIVE
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-4916
- Phone
- (618) 656-7157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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| Stephanie Wallace, SLP | |
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